Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out North Carolina Disaster Surveillance Forms with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the North Carolina Disaster Surveillance Form in the editor.
Begin by entering the facility name and description at the top of the form. This identifies where the surveillance is taking place.
In the Patient Information section, record the date and tally the total number of patients seeking care, categorizing them by gender (Males and Females) and age groups (< 1 year and > 65 years).
Next, for each patient visit, select a reason from the provided categories such as Unintentional Injury or Fever. Tally these totals accordingly.
Finally, ensure that you complete the Total Census section to summarize all data collected during your surveillance period.
Start using our platform today to efficiently fill out your North Carolina Disaster Surveillance Forms for free!
Fill out north carolina disaster surveillance forms online It's free
Documents such as immediate permit suspension forms, embargo forms, and product disposition forms must be used, and can be found on the EH Section website. Page
North Carolina Disaster Surveillance Form (Aggregate)
North Carolina Disaster Surveillance Form (Aggregate). For Active Surveillance in Facilities (e.g., Acute Care Facilities, Shelters) with Medical Staff.
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.... Read more...Read less
